CMS Price Transparency Data

Review of medical records for care

Facility: St Joseph's University Medical Center Inc

Billing Code: 90889 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90889
Insurance Median: $86
Cash Discount Price: $144
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Review of medical records for care at St Joseph's University Medical Center Inc is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $144. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 703 Main St, Paterson, NJ.

Cash / Self-Pay

$144

Average discount available for prompt cash payment at this facility.

Insurance Median

$86

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Fidelis Care of New Jersey	$18 - $42	N/A
UnitedHealthcare	$26 - $92	N/A
Amerihealth	$28 - $92	N/A
Wellpoint	$28	N/A
Aetna	$30 - $72	N/A
Blue Cross Blue Shield	$31 - $126	N/A
Ambetter / Centene	$43	N/A
Horizon New Jersey Health	$45 - $128	N/A
Oxford	$92	N/A
Private Healthcare Systems	$94 - $98	N/A
Multiplan	$98 - $108	N/A
Magnacare	$101	N/A
Consumer Health Network	$112 - $130	N/A
Longevity Health Plan	$130	N/A
Oscar	$136	N/A
Cigna	$144 - $150	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $144.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90889.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Joseph's University Medical Center Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90889.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.